Mark Todd Roback, DO - Medicare Family Practice in Fortuna, CA

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Mark Todd Roback, DO is a medicare enrolled "General Practice" physician in Fortuna, California. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Shasta Regional Medical Group Inc and his current practice location is 3304 Renner Dr, Fortuna, California. You can reach out to his office (for appointments etc.) via phone at (707) 725-4477.

Mark Todd Roback is licensed to practice in California (license number 20A10324) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801969829.

Contact Information

Mark Todd Roback, DO
3304 Renner Dr,
Fortuna, CA 95540-7102
(707) 725-4477
(707) 725-9209

Map and Direction




Physician's Profile

Full NameMark Todd Roback
GenderMale
SpecialityFamily Practice
Experience20 Years
Location3304 Renner Dr, Fortuna, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Todd Roback graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1801969829
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 08/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7214034552
  • Enrollment ID: I20080731000716

Medical Identifiers

Medical identifiers for Mark Todd Roback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801969829NPI-NPPES
7100028230MedicaidKY
R1153OtherKYTEMP LICENSE
1801969829OtherCANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R1153 (Kentucky)Secondary
208D00000XGeneral Practice 20A10324 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shasta Regional Medical CenterRedding, CAHospital
Mercy Medical Center ReddingRedding, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shasta Regional Medical Group Inc599186135334

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Todd Roback allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameGalen Inpatient Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680
Entity NameShasta Regional Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396990545
PECOS PAC ID: 5991861353
Enrollment ID: O20090310000251

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Todd Roback is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Todd Roback, DO
670 9th Street, Suite 203,
Arcata, CA 95521-6249

Ph: (707) 826-8633		Mark Todd Roback, DO
3304 Renner Dr,
Fortuna, CA 95540-7102

Ph: (707) 725-4477

Reviews and Comments


General Practice Doctors in Fortuna, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.